Tehrani, Kevin

Tehrani, Kevin is an sole proprietor health care provider with primary practice located at 560 Northern Blvd Great Neck, Great Neck NY 11021-5100. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Tehrani, Kevin can be contacted via phone (516) 498-9790.

Contact Information

Primary practice address
560 Northern Blvd Great Neck Great Neck NY 11021-5100
Phone: (516) 498-9790
Fax: (516) 498-9796
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 214939 New York
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 214939 New York
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 214939 New York

Profile Details

NPI number 1346332301
LBN Legal business name Tehrani, Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Jun 26th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346332301 NPPES
New York Other 214939 LISENCE NUMBER
New York Other P2995192 LISENCE NUMBER
New York Other N84003 LISENCE NUMBER
New York MEDICAID 02463385 LISENCE NUMBER

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